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carotid stent 37215

Super Posted Tue 01st of September, 2015 14:54:46 PM

37215 being denied. Pt was not part of study. Meets requirements for carotid stenting. Per a Medicare Representative if a patient is not a part of a study trial then we should append a certain modifier on the claim. I can not find this "so called" modifier. Does anyone happen to know what this non trial modifier is? I can only find the trial modifiers. Q0 and Q1

SuperCoder Answered Wed 02nd of September, 2015 00:41:59 AM

CMS modifier Q0 and Q1 are for investigation trials or studies. We haven't found any modifier other than trial services. SO, we would recommend you to bill CPT code 37215 normally with appropriate ICD-9/10 diagnosis which supports the procedure requirements.

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